HAPPY DAYS CHILD DEVELOPMENT CENTER

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst(LPA) Anna Morales conducted a Case Management- Lead Testing/Exceedance visit and met with Acting Director Evelyn Llanda The lead exceedance readings for sample date 8/19/2022 found Action Level Exceedance (ALE) results in outlet: R7 C Drinking Fountain, Lead 5.9 Verification passing lead test results for the above outlet retesting on 12/28/2022 was obtained. All outlet show non-ALE results. Type B deficiency cited and corrected during visit, exit interview conducted, and a copy of this report was reviewed with . Appeal rights were reviewed and provided. A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE CENTER, AND MUST REMAIN POSTED FOR 30 DAYS SUPERVISORS NAME: Gladys Kuizon LICENSING EVALUATOR NAME: Anna Morales LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2023 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 2 FACILITY NAME: HAPPY DAYS CHILD DEVELOPMENT CENTER FACILITY NUMBER: 430709840 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 07/20/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 07/21/2023 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7Lead Testing Written Directives 101700.3 (b)(1), a result with values 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was met as evidenced by:1 2 3 4 5 6 7Facility repaired and resampled ALE outlets on 12/28/2022 and submitted proof of non-ALE results for the outlet (C Drinking Fountain in Rm7) 8 9 10 11 12 13 14Lead testing conducted on 8/19/2022 showed ALE on C Drinking Fountain in RM 7 in the facility. This posed a potential risk to children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Gladys Kuizon LICENSING EVALUATOR NAME:Anna Morales LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2023

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst(LPA) Anna Morales conducted a Case Management- Lead Testing/Exceedance visit and met with Acting Director Evelyn Llanda The lead exceedance readings for sample date 8/19/2022 found Action Level Exceedance (ALE) results in outlet: R7 C Drinking Fountain, Lead 5.9 Verification passing lead test results for the above outlet retesting on 12/28/2022 was obtained. All outlet show non-ALE results. Type B deficiency cited and corrected during visit, exit interview conducted, and a copy of this report was reviewed with . Appeal rights were reviewed and provided. A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE CENTER, AND MUST REMAIN POSTED FOR 30 DAYS SUPERVISORS NAME: Gladys Kuizon LICENSING EVALUATOR NAME: Anna Morales LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2023 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 2 FACILITY NAME: HAPPY DAYS CHILD DEVELOPMENT CENTER FACILITY NUMBER: 430709840 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 07/20/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 07/21/2023 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7Lead Testing Written Directives 101700.3 (b)(1), a result with values 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was met as evidenced by:1 2 3 4 5 6 7Facility repaired and resampled ALE outlets on 12/28/2022 and submitted proof of non-ALE results for the outlet (C Drinking Fountain in Rm7) 8 9 10 11 12 13 14Lead testing conducted on 8/19/2022 showed ALE on C Drinking Fountain in RM 7 in the facility. This posed a potential risk to children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Gladys Kuizon LICENSING EVALUATOR NAME:Anna Morales LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2023

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst(LPA) Anna Morales conducted a Case Management- Lead Testing/Exceedance visit and met with Acting Director Evelyn Llanda The lead exceedance readings for sample date 8/19/2022 found Action Level Exceedance (ALE) results in outlet: R7 C Drinking Fountain, Lead 5.9 Verification passing lead test results for the above outlet retesting on 12/28/2022 was obtained. All outlet show non-ALE results. Type B deficiency cited and corrected during visit, exit interview conducted, and a copy of this report was reviewed with . Appeal rights were reviewed and provided. A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE CENTER, AND MUST REMAIN POSTED FOR 30 DAYS SUPERVISORS NAME: Gladys Kuizon LICENSING EVALUATOR NAME: Anna Morales LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2023 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 2 FACILITY NAME: HAPPY DAYS CHILD DEVELOPMENT CENTER FACILITY NUMBER: 430709840 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 07/20/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 07/21/2023 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7Lead Testing Written Directives 101700.3 (b)(1), a result with values 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was met as evidenced by:1 2 3 4 5 6 7Facility repaired and resampled ALE outlets on 12/28/2022 and submitted proof of non-ALE results for the outlet (C Drinking Fountain in Rm7) 8 9 10 11 12 13 14Lead testing conducted on 8/19/2022 showed ALE on C Drinking Fountain in RM 7 in the facility. This posed a potential risk to children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Gladys Kuizon LICENSING EVALUATOR NAME:Anna Morales LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2023

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25Licensing Program Analyst(LPA) Anna Morales conducted a Case Management- Lead Testing/Exceedance visit and met with Acting Director Evelyn Llanda The lead exceedance readings for sample date 8/19/2022 found Action Level Exceedance (ALE) results in outlet: R7 C Drinking Fountain, Lead 5.9 Verification passing lead test results for the above outlet retesting on 12/28/2022 was obtained. All outlet show non-ALE results. Type B deficiency cited and corrected during visit, exit interview conducted, and a copy of this report was reviewed with . Appeal rights were reviewed and provided. A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE CENTER, AND MUST REMAIN POSTED FOR 30 DAYS SUPERVISORS NAME: Gladys Kuizon LICENSING EVALUATOR NAME: Anna Morales LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2023 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 2 FACILITY NAME: HAPPY DAYS CHILD DEVELOPMENT CENTER FACILITY NUMBER: 430709840 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 07/20/2023 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type B 07/21/2023 Section Cited 101700.3(b)(1) 1 2 3 4 5 6 7Lead Testing Written Directives 101700.3 (b)(1), a result with values 5.5 ppb or greater shall be deemed an Action Level Exceedance. This requirement was met as evidenced by:1 2 3 4 5 6 7Facility repaired and resampled ALE outlets on 12/28/2022 and submitted proof of non-ALE results for the outlet (C Drinking Fountain in Rm7) 8 9 10 11 12 13 14Lead testing conducted on 8/19/2022 showed ALE on C Drinking Fountain in RM 7 in the facility. This posed a potential risk to children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. SUPERVISOR'S NAME:Gladys Kuizon LICENSING EVALUATOR NAME:Anna Morales LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2023 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2023

Type B citation from complaint investigation - potential risk if not corrected